Surrender Application

If you are unable to fill out on-line, Download Print version.





If not, please contact them before attempting to surrender the dog to IGPR.

If no, and the problem is behavioral, we suggest you contact your veterinarian for the name of a qualified specialist to help you and the dog.

IS THE DOG:

Good With:
Children?
Cats?
Dogs?
Men?
Women?




Enter the date of most recent vaccination:


















I understand if my animal is not up to date on vaccines, current on heartworm preventative, or neutered or spayed, there is a $100 owner surrender fee payable to Indy Great Pyrenees Rescue Inc. to help offset the expense of getting the animal treated by a licensed veterinarian.

If the dog is taken into rescue by Indy Great Pyrenees Rescue, I agree that this dog is being surrendered because I no longer can care for the pet or want to be responsible for it in anyway. To my knowledge the animal does not display vicious behavior towards humans. I understand if an animal behaviorist determines the animal is not suitable for adoption, it will be euthanized in a humane manner.

The animal will be placed in a suitable family home as a companion and pet, and will not be used for testing. I understand that by signing this document, I cannot ask for the animal to be returned to me or my family, no matter what the circumstances. I also understand I will not be able to visit the animal in its new home, and the adopters’ identity or location will not be revealed unless the adopter agrees.

I give authorization to my veterinary clinic to release all medical records regarding the have mentioned dog to Indy Great Pyrenees Rescue Inc..


Typed name will serve as a signature.